Abstract:

Objective To evaluate the application of "Internet+" early rehabilitation training in high-risk patients with exercise rehabilitation after percutaneous coronary intervention（PCI），and to evaluate its effect. Methods The convenience sampling method was employed to choose PCI patients at high risk of postoperative exercise rehabilitation as the research subjects from the cardiology department of a tertiary A hospital in Zhejiang province，among which 30 cases in March to April，2022 were allocated into the experimental group. The research team formulated and implemented the “Internet+” platform combined with the early rehabilitation training program based on the standard theory through literature review and expert meetings. 30 patients admitted from January to February 2022，were allocated into the control group，and they received routine offline cardiac rehabilitation training. The compliance of offline rehabilitation training，the incidence of adverse events and quality of life in the process of rehabilitation training were compared between the 2 groups after intervention，and the online reading compliance and satisfaction with the use of “Internet+” rehabilitation training platform in the experimental group were evaluated. Results There were 2 cases dropped out from the experimental group，and 4 cases from the control group，and finally there were 28 cases in the experimental group and 26 cases in the control group. After 7 days of intervention，the offline compliance of the experimental group was higher than that of the control group，and the difference was statistically significant（P<0.001）. There was no significant difference in the incidence of adverse events and quality of life between the 2 groups during rehabilitation training（P>0.05）. In the experimental group，the total reading volume of the online platform was 875 times；the total number of articles was 326 times；the active number was 369 times. The reading rate of the patients was 88.35%；the reading time was 14.8 minutes. The overall satisfaction of cardiology nurses and patients in the experimental group with the online platform was（2.69±0.47），（2.79±0.42）points，respectively. Conclusion “Internet +” early rehabilitation training can effectively im-prove the rehabilitation compliance and quality of life of high-risk patients with postoperative exercise rehabilitation after PCI.

Key words: Percutaneous Coronary Intervention, Patient with High-Risk Exercise Rehabilitation, Online Platform, Early Rehabilitation Training, Rehabilitation Nursing

摘要：

目的 探究云平台联合早期康复训练在经皮冠状动脉介入治疗术后运动康复高危患者中的应用及效果。方法 采用便利抽样法，选取浙江省某三级甲等医院心内科经皮冠状动脉介入治疗术后运动康复高危患者作为研究对象，其中2022年3月—4月收治的30例作为试验组，研究团队通过文献回顾和专家会议制订基于达标理论的云平台联合早期康复训练方案并实施；2022年1月—2月收治的30例作为对照组，实施线下早期康复训练。比较两组干预7 d后的线下早期康复训练依从性、不良事件发生率和生活质量，并评价云平台的阅读依从性和满意度。结果 试验组中途退出2例，对照组退出4例，最终试验组28例，对照组26例完成研究。干预后试验组的线下依从性高于对照组，差异具有统计学意义（P<0.001），两组训练过程中不良事件发生率和生活质量比较，差异无统计学意义（P>0.05）。试验组云平台总阅读量为875次，阅读文章总例数为326例次，活跃人数为369例次，患者阅读率为88.35%、平均阅读时长为14.8 min。心内科护士和试验组患者对云平台的总体满意度分别为（2.69±0.47）、（2.79±0.42）分。结论 云平台联合早期康复训练能有效提高经皮冠状动脉介入治疗术后运动康复高危患者康复依从性，提升康复质量。

关键词: 经皮冠状动脉介入治疗, 运动康复高危患者, 云平台, 早期康复训练, 康复护理